Barriers and facilitators to implementing a continuing medical education intervention in a primary health care setting

Detalhes bibliográficos
Autor(a) principal: Reis, Teresa Martins Alves dos
Data de Publicação: 2022
Outros Autores: Faria, Inês, Serra, Helena, Xavier, Miguel
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/138578
Resumo: UIDB/04647/2020 UIDP/04647/2020
id RCAP_1494ad481b2b648717ea9d0cc8f1a2b2
oai_identifier_str oai:run.unl.pt:10362/138578
network_acronym_str RCAP
network_name_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository_id_str 7160
spelling Barriers and facilitators to implementing a continuing medical education intervention in a primary health care settingGeneral PractitionersPrimary health careContinuing medical educationBarriersFacilitatorsMixed methodologyUIDB/04647/2020 UIDP/04647/2020Background Continuing medical education (CME), as a systematic attempt to facilitate change in General Practitioners’ (GPs) practices, is considered crucial, assuming that if physicians are up-to-date, they will change and improve their practice, resulting in better performance and ultimately better patient care. However, studies continue to demonstrate considerable gaps between the real and ideal performance and patient-related outcomes. The objective of this study was to explore GP’s perception of the factors affecting the implementation of a CME digital platform in a primary health care setting in Portugal. Methods Our work is framed in a larger effectiveness-implementation hybrid type 1 study, where a Digital Behaviour Change Intervention (DBCI), called ePrimaPrescribe, was developed and implemented with the aim of changing benzodiazepines (BZD) prescribing patterns. Our design used mixed methodologies to obtain an enriched knowledge on GPs’ perspectives on the facilitators and barriers to implementing a Digital Behaviour Change Intervention (DBCI) applied to CME. To do so, we used data coming from an onsite questionnaire, an adapted version of the Barriers and Facilitators Assessment Instrument (BaFAI) and in-depth interviews. Results From the 47 GPs successfully included in the intervention arm of our cluster-randomized effectiveness study, we collected 37 onsite questionnaires, 24 BaFAIs, and performed 12 in-depth interviews. GPs reported as the main barriers to CME a lack of time, a perception of work overload, a lack of digital competence, a lack of digital infrastructure, and motivational and emotional factors. They reported as facilitators to CME delivered through a DBCI the convenience of the delivery method, the practical and pragmatic characteristics of the content, and the possibility for CME to be mandatory. Conclusions The perceptions of the barriers and facilitators reported by GPs represent an important contribution to improving knowledge regarding the factors influencing the implementation of CME in primary health care settings. We consider that our study might bring useful insights to other countries where primary health care plays a central role in the provision of care.Comprehensive Health Research Centre (CHRC) - pólo NMSNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)Departamento de Sociologia (DS)Centro Interdisciplinar de Ciências Sociais (CICS.NOVA - NOVA FCSH)RUNReis, Teresa Martins Alves dosFaria, InêsSerra, HelenaXavier, Miguel2022-05-24T22:19:36Z2022-05-132022-05-13T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article13application/pdfhttp://hdl.handle.net/10362/138578eng1472-6963PURE: 43988384https://doi.org/10.1186/s12913-022-08019-winfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:15:50Zoai:run.unl.pt:10362/138578Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:49:07.759104Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Barriers and facilitators to implementing a continuing medical education intervention in a primary health care setting
title Barriers and facilitators to implementing a continuing medical education intervention in a primary health care setting
spellingShingle Barriers and facilitators to implementing a continuing medical education intervention in a primary health care setting
Reis, Teresa Martins Alves dos
General Practitioners
Primary health care
Continuing medical education
Barriers
Facilitators
Mixed methodology
title_short Barriers and facilitators to implementing a continuing medical education intervention in a primary health care setting
title_full Barriers and facilitators to implementing a continuing medical education intervention in a primary health care setting
title_fullStr Barriers and facilitators to implementing a continuing medical education intervention in a primary health care setting
title_full_unstemmed Barriers and facilitators to implementing a continuing medical education intervention in a primary health care setting
title_sort Barriers and facilitators to implementing a continuing medical education intervention in a primary health care setting
author Reis, Teresa Martins Alves dos
author_facet Reis, Teresa Martins Alves dos
Faria, Inês
Serra, Helena
Xavier, Miguel
author_role author
author2 Faria, Inês
Serra, Helena
Xavier, Miguel
author2_role author
author
author
dc.contributor.none.fl_str_mv Comprehensive Health Research Centre (CHRC) - pólo NMS
NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
Departamento de Sociologia (DS)
Centro Interdisciplinar de Ciências Sociais (CICS.NOVA - NOVA FCSH)
RUN
dc.contributor.author.fl_str_mv Reis, Teresa Martins Alves dos
Faria, Inês
Serra, Helena
Xavier, Miguel
dc.subject.por.fl_str_mv General Practitioners
Primary health care
Continuing medical education
Barriers
Facilitators
Mixed methodology
topic General Practitioners
Primary health care
Continuing medical education
Barriers
Facilitators
Mixed methodology
description UIDB/04647/2020 UIDP/04647/2020
publishDate 2022
dc.date.none.fl_str_mv 2022-05-24T22:19:36Z
2022-05-13
2022-05-13T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/138578
url http://hdl.handle.net/10362/138578
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 1472-6963
PURE: 43988384
https://doi.org/10.1186/s12913-022-08019-w
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 13
application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
_version_ 1799138090967629824

Registros relacionados